| NPI | 1750837324 |
|---|---|
| Former Legal Business Name | NA |
| Entity Type | Organization |
| Authorized Contact | ANTOINE KELEF HUFF Owner 313-740-4396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI h100067465577) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |